title: Management of supernumerary testis in an adult: case report and review.
abstract: Polyorchidism is a rare congenital anomaly. Approximately 100 cases have been published to date. We report a case of triorchidism in a 20-year-old man who presented to us with inguinal hernia. There is more than 30% incidence of histological abnormalities in polyorchid testes and 4-7% present with malignancy. The management of polyorchidism is controversial. Some authors prefer conservative approach to increase the chances of spermatogenesis and others suggest excision to prevent malignancy. In our case, a biopsy of the testes was performed and was found to be normal. This patient was placed on follow-up with regular self examination, six monthly clinical examination and yearly scrotal sonogram.
authors.affiliation: Department of Surgical Oncology, Chittaranjan National Cancer Institute, Kolkata, India. sandeepnayakp@gmail.com
authors.forename: S P
authors.initials: SP
authors.lastname: Nayak
authors.forename: M P
authors.initials: MP
authors.lastname: Sreejayan
mesh_terms: D000328:Adult; D001706:Biopsy; D006552:Hernia, Inguinal / Q000601:surgery; D006801:Humans; D008297:Male; D012611:Scrotum / Q000473:pathology; D013733:Testicular Diseases / Q000628:therapy; D013737:Testis / Q000002:abnormalities* / Q000473:pathology